Form ID

Publication date

Location of premises

Certificate

Contract No. 04-08, 2004 Hot Mix Paving Program

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Lennox and Addington
Address of Owner
97 Thomas Street East, Bag 1000, Napanee, ON K7R 3S9
Name of Contractor
Dibblee Construction
Address of Contractor
1600 Westbrook Rd., Kingston, ON K7P 2Y7
Name of Certifier
G.D. Jewell Engineering Inc.
Address of Certifier
R.R. #7 Hwy. 62, Belleville, ON K8N 4Z7

Office to which claim for lien must be given to preserve lien

County of Lennox and Addington, 97 Thomas St. East, Bag 100, Napanee, ON K7R 3S9